8 ms·

What is considered to be the best treatment for apnea these days? Is it ESP, or something else? Besides CPAP of course.

by kif 4y ago

deleted 4y ago
[deleted]
o_____________o 4y ago
There are some pretty interesting procedures like MSE that aim to expand your skull internally by putting lateral outward pressure on your palate. The immediate effects are a new gap between your two front teeth and greatly expanded breathing capacity. Hopefully. People have various ways of describing the moment two parts of your internal skull bits separate, once described as "radiant pleasure without actual pleasure"
- kif 4y ago
  I can't believe I hadn't heard about this before. Looks very intriguing.
jk7tarYZAQNpTQa 4y ago
Losing weight.
- Broken_Hippo 4y ago
  That's only if your weight is the cause.
  - jk7tarYZAQNpTQa 4y ago
    "Some 60–90% of adults with OSA are overweight" https://diabetesjournals.org/care/article/31/Supplement_2/S303/24789/Abdominal-Fat-and-Sleep-ApneaThe-chicken-or-the https://diabetesjournals.org/care/article/31/Supplement_2/S3...
    - Broken_Hippo 4y ago
      I don't see your point. Obviously, some of those folks are just technically overweight - BMI at 25 - and aren't going to get as much help even though most of us picture obesity when looking at this. And that still leaves 10-40% that aren't and still have OSA.
      - jk7tarYZAQNpTQa 4y ago
        > some of those folks are just technically overweight - BMI at 25 - and aren't going to get as much help Citation needed. They are absolutely going to be benefited from weight loss. "What is becoming increasingly clear is that we need to continue to strongly advocate weight loss for all our patients, regardless of the severity of their OSA or adherence to our other therapies. The benefits of weight loss are, to a degree, unquestionable. This study highlights that tangible benefits can be obtained with weight-loss interventions. The challenge, as always, lies in the implementation of our lofty goals." https://jcsm.aasm.org/doi/10.5664/jcsm.8384 https://jcsm.aasm.org/doi/10.5664/jcsm.8384 "Results: Relative to stable weight, a 10% weight gain predicted an approximate 32% (95% confidence interval [CI], 20%-45%) increase in the AHI. A 10% weight loss predicted a 26% (95% CI, 18%-34%) decrease in the AHI. A 10% increase in weight predicted a 6-fold (95% CI, 2.2-17.0) increase in the odds of developing moderate-to-severe SDB. " https://pubmed.ncbi.nlm.nih.gov/11122588/ https://pubmed.ncbi.nlm.nih.gov/11122588/
- kif 4y ago
  My wife has sleep apnea and her BMI is 19. So, not necessarily.
  - jk7tarYZAQNpTQa 4y ago
    Congrats I guess? Your wife is an exception to a very well established norm. Losing weight is a treatment so good (as in, effective, safe, cheap) that most doctors will recommend it as the number 1 step in treating sleep apnea. "What is becoming increasingly clear is that we need to continue to strongly advocate weight loss for all our patients, regardless of the severity of their OSA or adherence to our other therapies. The benefits of weight loss are, to a degree, unquestionable. This study highlights that tangible benefits can be obtained with weight-loss interventions. The challenge, as always, lies in the implementation of our lofty goals." https://jcsm.aasm.org/doi/10.5664/jcsm.8384 https://jcsm.aasm.org/doi/10.5664/jcsm.8384
    - kif 4y ago
      Saying "congrats", whether ironic or not, comes off as insensitive at best.
ericabiz 4y ago
Double jaw surgery. I had it last year for sleep apnea. I am not overweight, but had recessed jaws. If you do too, the surgery is worth pursuing.
- kif 4y ago
  Interesting. I've heard recovery from jaw surgery can be trying. What was your experience like?
  - ericabiz 4y ago
    It was certainly not easy. I took 5 weeks off of work! It’s not in my nature to stop working for so long, so that was a strange experience. Recovery has been good. I look better now, so that’s awesome...a good side effect! I have some remaining “weird feeling” in my lower left chin area, but it doesn’t really bother me. I am 11 months post-op now and get my braces off next month. Overall I’d definitely recommend the survey if it’s medically warranted. It absolutely was for me.
    - kif 4y ago
      Glad the procedure was successful for you. We're still trying to find what the best solution might be for my wife, but it gives me hope to hear success stories like this. Thanks!

What is considered to be the best treatment for apnea these days? Is it ESP, or something else? Besides CPAP of course.

by kif 4y ago

What is considered to be the best treatment for apnea these days? Is it ESP, or something else? Besides CPAP of course.

deleted 4y ago

[deleted]

o_____________o 4y ago

There are some pretty interesting procedures like MSE that aim to expand your skull internally by putting lateral outward pressure on your palate. The immediate effects are a new gap between your two front teeth and greatly expanded breathing capacity. Hopefully. People have various ways of describing the moment two parts of your internal skull bits separate, once described as "radiant pleasure without actual pleasure"

kif 4y ago
I can't believe I hadn't heard about this before. Looks very intriguing.

jk7tarYZAQNpTQa 4y ago

Losing weight.

Broken_Hippo 4y ago
That's only if your weight is the cause.
- jk7tarYZAQNpTQa 4y ago
  "Some 60–90% of adults with OSA are overweight" https://diabetesjournals.org/care/article/31/Supplement_2/S303/24789/Abdominal-Fat-and-Sleep-ApneaThe-chicken-or-the https://diabetesjournals.org/care/article/31/Supplement_2/S3...
  - Broken_Hippo 4y ago
    I don't see your point. Obviously, some of those folks are just technically overweight - BMI at 25 - and aren't going to get as much help even though most of us picture obesity when looking at this. And that still leaves 10-40% that aren't and still have OSA.
    - jk7tarYZAQNpTQa 4y ago
      > some of those folks are just technically overweight - BMI at 25 - and aren't going to get as much help Citation needed. They are absolutely going to be benefited from weight loss. "What is becoming increasingly clear is that we need to continue to strongly advocate weight loss for all our patients, regardless of the severity of their OSA or adherence to our other therapies. The benefits of weight loss are, to a degree, unquestionable. This study highlights that tangible benefits can be obtained with weight-loss interventions. The challenge, as always, lies in the implementation of our lofty goals." https://jcsm.aasm.org/doi/10.5664/jcsm.8384 https://jcsm.aasm.org/doi/10.5664/jcsm.8384 "Results: Relative to stable weight, a 10% weight gain predicted an approximate 32% (95% confidence interval [CI], 20%-45%) increase in the AHI. A 10% weight loss predicted a 26% (95% CI, 18%-34%) decrease in the AHI. A 10% increase in weight predicted a 6-fold (95% CI, 2.2-17.0) increase in the odds of developing moderate-to-severe SDB. " https://pubmed.ncbi.nlm.nih.gov/11122588/ https://pubmed.ncbi.nlm.nih.gov/11122588/
kif 4y ago
My wife has sleep apnea and her BMI is 19. So, not necessarily.
- jk7tarYZAQNpTQa 4y ago
  Congrats I guess? Your wife is an exception to a very well established norm. Losing weight is a treatment so good (as in, effective, safe, cheap) that most doctors will recommend it as the number 1 step in treating sleep apnea. "What is becoming increasingly clear is that we need to continue to strongly advocate weight loss for all our patients, regardless of the severity of their OSA or adherence to our other therapies. The benefits of weight loss are, to a degree, unquestionable. This study highlights that tangible benefits can be obtained with weight-loss interventions. The challenge, as always, lies in the implementation of our lofty goals." https://jcsm.aasm.org/doi/10.5664/jcsm.8384 https://jcsm.aasm.org/doi/10.5664/jcsm.8384
  - kif 4y ago
    Saying "congrats", whether ironic or not, comes off as insensitive at best.

ericabiz 4y ago

Double jaw surgery. I had it last year for sleep apnea. I am not overweight, but had recessed jaws. If you do too, the surgery is worth pursuing.

kif 4y ago
Interesting. I've heard recovery from jaw surgery can be trying. What was your experience like?
- ericabiz 4y ago
  It was certainly not easy. I took 5 weeks off of work! It’s not in my nature to stop working for so long, so that was a strange experience. Recovery has been good. I look better now, so that’s awesome...a good side effect! I have some remaining “weird feeling” in my lower left chin area, but it doesn’t really bother me. I am 11 months post-op now and get my braces off next month. Overall I’d definitely recommend the survey if it’s medically warranted. It absolutely was for me.
  - kif 4y ago
    Glad the procedure was successful for you. We're still trying to find what the best solution might be for my wife, but it gives me hope to hear success stories like this. Thanks!